Senior Product Manager - Cost and Coverage
Highmark HealthThis Senior Product Manager role focuses on the financial experience of healthcare members, specifically managing cost transparency, payment collection systems, and coverage communication within a health plan organization.
What you’d own
- End-to-end financial front door for member costs
- Cost transparency and coverage experiences
- Product roadmap, vision, and business cases
- Mentoring and coaching junior product team members
Who it’s for
A fit if you…
- ✓You have 5+ years of experience in the software lifecycle.
- ✓You possess strong financial acumen and P&L knowledge.
- ✓You have experience with health plan price transparency (e.g., Machine Readable Files).
- ✓You enjoy a 'player-coach' role involving mentorship.
Not for you if…
- ✗You prefer technical product management over business/financial product development.
- ✗You prefer to work as an individual contributor without coaching responsibilities.
- ✗You are looking for a pure technology-focused product role.
Reading between the lines
- The 'player-coach' mention and 'growth potential into formal people management' suggests the team is expanding and you will be the primary lead for a small pod.
- The emphasis on 'business product development' rather than 'technology product' implies the focus is on policy, finance, and operations logic over engineering architecture.
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Full job description
Company : Highmark Health Job Description : JOB SUMMARY The Senior Product Manager, Cost and Coverage owns the end-to-end financial front door for members from understanding the cost of care to collecting payment from members upfront or providing financing options where needed, and ensuring the post-encounter Explanation of Benefits is simple and accurately matches the cost estimate provided. This role defines the product strategy, vision, and value proposition of Highmark’s cost transparency and coverage experiences.
The ideal candidate outlines the strategic vision and business case, gains alignment and support from key strategic partners and stakeholders, and oversees execution of that vision, while also coaching and guiding junior team members. This role is currently envisioned as a “player-coach model” to 3 other product managers/analysts with growth potential into formal people management. This is a business product development role, not a technology product role.
Strong business and financial acumen with the ability to independently develop business cases is required. ESSENTIAL RESPONSIBILITIES Understand the department's and the company's strategic roadmap and competitive position, and develop a holistic product vision and the corresponding product strategy to drive maximum value. Actively anticipate future needs and utilize metrics and qualitative input to identify asset improvement opportunities.
Represent the product in all governance meetings. Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels. Serve as accountable owner for the sets of products/tools within the designated portfolio Identify and drive both cross-product and cross-customer value and shared learnings. Own the product backlog and use input from internal and partner teams to frequently refresh and re-prioritize the backlog.
Provide coaching and guidance to team members on product vision and strategic road mapping. Other duties as assigned or requested. EXPERIENCE Required 5 years of Product experience To include: 5 years with the Software Lifecycle 3 years of Advanced domain experience SKILLS Business Acumen for P&Ls Communication Conflict Management EDUCATION Required Bachelor’s degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Preferred Experience coaching and developing 1-3 product managers/analysts Health plan price transparency knowledge, including but not limited to Machine Readable Files SKILLS Business Acumen for P&Ls Communication Conflict Management Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office- or Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Occasionally Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Never Lifting: 25 to 50 pounds Never Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title.
It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.
In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct.
This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $102,700.00 Pay Range Maximum: $164,600.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. California Consumer Privacy Act Employees, Contractors, and Applicants Notice
About Highmark Health
See all roles →Highmark Health is a Pittsburgh-based nonprofit health and wellness organization that combines a health insurance business with a care delivery network. It describes a blended approach it calls Living Health, aimed at joining insurance and clinical care into one more connected experience for patients and members. The scraped pages were mostly navigation, so details on roles and culture are thin. For a PM, the interest is likely in large-scale healthcare products where payer and provider data meet.
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